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Related Experiment Videos

Blood usage in rotor-wing transport

K S Berns1, S P Zietlow

  • 1St. Mary's Hospital, Rochester, MN 55902, USA.

Air Medical Journal
|June 6, 1998
PubMed
Summary

In-flight red blood cell transfusions benefit selected patients with hemorrhagic shock. Maintaining readily accessible blood storage near helicopters is crucial for timely patient care and positive outcomes.

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Area of Science:

  • Emergency medicine
  • Trauma surgery
  • Critical care

Background:

  • Blood transfusion is standard for hemorrhagic shock.
  • Rotor-wing (RW) programs face unique challenges in delivering timely care.
  • Developing protocols for in-flight transfusions is essential.

Purpose of the Study:

  • To document the development of protocols for administering red blood cells.
  • To review the experience with in-flight blood transfusions in a rural RW program.

Main Methods:

  • Retrospective analysis of 2131 patient records from a hospital-based RW program over 3 years.
  • Review of blood bank records and transfusion protocols.
  • Analysis of blood use during interfacility and scene transports.

Main Results:

  • 4% (94/2131) of patients received transfusions.
  • Transfusions were given for trauma, gastrointestinal bleeds, and abdominal aortic aneurysms.
  • No complications were reported with in-flight transfusions.

Conclusions:

  • In-flight blood transfusions can benefit selected RW patients.
  • Proximity of blood storage to the helicopter is mandatory for avoiding transport delays.
  • Close collaboration with blood banks ensures O-negative blood availability.

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